Patient Information — Reform Dentistry Fredericksburg & Spotsylvania, VA
Everything you need for a smooth visit. From patient forms and insurance info to what to bring and what to expect — Reform Dentistry and Dr. Ali Al-Douri make your first visit easy in Fredericksburg and Spotsylvania, VA.
Patient Forms
Save time at your appointment by downloading and completing your paperwork in advance.
New Patient Registration
Required for all new patients
Your basic personal information, contact details, address, emergency contact, and referral source.
Health History
Medical background & conditions
A comprehensive medical history so our team can provide the safest, most appropriate care for you.
Dental History
Your dental background
Previous dental work, concerns, and habits — helps us understand where you're starting from.
Financial Policy & Consent
Payment & consent agreement
Our payment policy, insurance billing process, and consent for treatment at Reform Dentistry.
Forms are in PDF format. You can print them and bring the completed copies to your appointment.
What to Bring
A quick checklist to make sure you're prepared for your appointment.
What to Expect at Your First Visit
We make every appointment as smooth and comfortable as possible.
Warm Welcome
Our front desk team will greet you, confirm your insurance, and get you settled in. We aim to see new patients within 10 minutes of their scheduled time.
Comprehensive Exam
Dr. Al-Douri will conduct a thorough exam including digital X-rays, a periodontal assessment, and an oral cancer screening.
Your Treatment Plan
We'll walk you through our findings clearly and honestly, discuss your options, and give you a full cost breakdown — no surprises.
Comfortable Care
Whether it's a cleaning or a restoration, we use modern techniques to keep you comfortable from start to finish.
Frequently Asked Questions
Quick answers for new and returning patients.
We encourage you to download and complete the forms before your first visit to save time. You can also arrive 15 minutes early and complete them in our office.
We see patients of all ages — from toddlers to seniors. We love working with families and treating multiple generations under one roof.
We do our best to accommodate walk-ins, especially for dental emergencies. However, scheduling ahead ensures you get the most time with Dr. Al-Douri.
You are not alone — dental anxiety is very common. We offer inhalation sedation (nitrous oxide / laughing gas) and our team is trained to provide a calm, judgment-free environment. Nitrous oxide is safe, effective, and wears off quickly so you can drive yourself home.
New patient appointments typically run 60–90 minutes to allow time for a thorough exam, X-rays, and a cleaning or initial treatment if needed.
Two Convenient Locations
Serving Fredericksburg and Spotsylvania with comprehensive dental care.
Fredericksburg
Spotsylvania
Mon/Tue/Thu/Fri 8AM–4PM · Wed 8AM–2PM
Ready to Book Appointment?
We're welcoming new patients at both our Fredericksburg and Spotsylvania locations. Book online or call us today.